Rarely: For a first time at Viet Duc University Hospital, a 92 years old patient had replaced both sides of hip at the same time

20/08/2019 21:35

Health and life .vn – The femoral neck is the weakest part of the hip joint, the main force for body weight, usually one side of the hip is broken. The 1-side fracture is a very serious injury, especially for the elderly, in this case the elderly are over 92 years old, both sides of the hip are broken. This is a rare case. In the literature of world is also extremely rare.

 

On 5th August 2019, Ass. Prof. Nguyen Manh Khanh – Chief of upper extremities and sport medicine, Deputy chief of Insitute of Orthopedics and Trauma Surgery, Viet Duc University Hospital said that doctors had operated at the same time to replace two-sided hip for a male 92 years old, due to an accident of fall and a femoral neck fracture on both sides. This is the first time that surgeons have operated on both sides of the hip joint. 

 

“The femoral neck is the weakest part of the hip, the main force for body weight, usually one side of the joint is broken. The 1-side fracture is a very serious injury, especially for the elderly, in this case the elderly are over 92 years old, both sides of the groin are broken. This is a rare case. In the literature of the world is also extremely rare.”- Ass. Prof. Nguyen Manh Khanh shared.

 

Also, according to Ass. Prof. Nguyen Manh Khanh, this is a trauma that leads to a bone that cannot be resumed, the patient cannot sit up, stand up or walk but must be in one place leading to many complications such as back ulcers, butt ulcers, heel ulcers due to  pressure; urinary difficulty, and easy to be infected in case urinary catheter indicated, lying in one place without movement will stagnate circulation, the risk of forming blood clots in the veins (deep vein embolism), if these clots move to the brain leading to cerebral vascular accident, move into the heart causing myocardial infarction, moving to the lungs causes a pulmonary artery obstruction. This elderly patient broke his femoral neck if does not receive an early surgery, he will surely die due to complications.

14:00 5th August, doctors at Viet Duc University Hospital had both sides of the hip joint replaced at the same time. If we change one side at a time, the patient will have to wait for another 1 or 2 weeks when one side after surgery is stable, so the care time will last long, the patient is still in pain and has to cope with complications due to long lying.

 

According to experts in Viet Duc University Hospital, replacement of hip on both sides for young patients has been a huge challenge because it requires very fast surgery, resuscitation, adequate equipment, monitoring and resuscitation after thoughtful surgery and careful to ensure safety for patients. Hence, in order to successfully operate the hip replacement on both sides at the same time for a 92 years old male patient, the doctors had to conduct consultations with specialized specialists, ensuring many factors: anesthesia, resuscitation before, during and after surgery; blood transfusion, treating coincident  diseases such as cardiovascular and diabetes…

 

“Doctors have used the method of replacing non-cement hip with small incision, less invasive, only 4-5cm incision (very short incision), epidural anesthesia for both anesthesia during the operation and pain control after surgery. During the procedure, the patient was awake, has less pain, the risk of infection could be prevented and take care in postoperative days will be more easily. The surgery lasts for 1 hour”- Ass. Prof. Nguyen Manh Khanh shared.

 

After surgery, patients continues to be monitored and treated at the department of upper extremities and sport medicine, Viet Duc University Hospital. It is expected that after surgery, patients can sit up on first day, and can practice walking on second day  with the support of medical devices.

 

Thái Bình Journalist / Health and Life